Todd Gray, APNP - Medicare Nurse Practitioner in Waukesha, WI

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Todd Gray, APNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Waukesha, Wisconsin. His current practice location is 725 American Ave, Waukesha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 336-8656.

Todd Gray is licensed to practice in Wisconsin (license number 15708) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740803303.

Contact Information

Todd Gray, APNP
725 American Ave,
Waukesha, WI 53188-5031
(414) 336-8656
Not Available

Map and Direction




Provider's Profile

Full NameTodd Gray
GenderMale
SpecialityNurse Practitioner - Acute Care
Location725 American Ave, Waukesha, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740803303
  • Provider Enumeration Date: 05/18/2020
  • Last Update Date: 07/01/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7517490055
  • Enrollment ID: I20241023001103

Medical Identifiers

Medical identifiers for Todd Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740803303NPI-NPPES
1740803303MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 15708 (Wisconsin)Primary
363LC0200XNurse Practitioner - Critical Care Medicine 15708 (Wisconsin)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Todd Gray allows following entities to bill medicare on his behalf.
Entity NameProhealth Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356322440
PECOS PAC ID: 3476465188
Enrollment ID: O20031103000066
Entity NameNeurosurgery And Endovascular Associates Sc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063495000
PECOS PAC ID: 5698751790
Enrollment ID: O20040629000307

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Todd Gray is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Todd Gray, APNP
725 American Ave,
Waukesha, WI 53188-5031

Ph: (414) 336-8656		Todd Gray, APNP
725 American Ave,
Waukesha, WI 53188-5031

Ph: (414) 336-8656

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.